SIIA Releases New White Paper – TPAs and Reference Based Pricing

New Resource Now Available for TPAs Involved with Reference Based Pricing

January 13, 2021 – The Self-Insurance Institute of America, Inc. (SIIA) today announced the release of a new white paper: Reference Based Pricing Strategies and Considerations for Third Party Administrators (TPAs).

This is a work product of the association’s TPA Task Force, produced to provide useful and objective information for TPAs who administer or are otherwise involved with Reference Based Pricing (RBP) plans. Key topics include: balance billing, provider pushback, stop-loss insurance coordination, fiduciary liability and RBP vendor contracts.

SIIA members may access the white paper here.

Task Force members also provided a verbal presentation of this content at the association’s recent National Conference. Members can view a recording of this session – “SIIA’s TPA Task Force Update and Best Practices Development” -- at

For membership information, please contact Jennifer Ivy at

SIIA thanks for the following members who participated as part of its TPA Task Force:

SIIA TPA Task Force Members (2019-2020)

Denise Andrew, Director of Account Management
Boon-Chapman Benefit Administrators, Inc.

Jerry Castelloe, Principal
Castelloe Partners, LLC

Retha Cox, VP, Business Development & TPA Services
CWI Benefits

John Farnsley, EVP Sales
Caprock Health Group

Jason Hager, SVP, Operations,

Deb Hodges, President
Health Plans Inc.

David Pagniucci, President

David Parrish, VP, Strategic Relationships & Sales Support
Trustmark Benefits

Darren Reynolds, President & CEO

Lisa True, Cofounder and Co-CEO
Aither Health

James Vertino, CEO
Employee Benefit Management Svcs., LLC.

Andy Willoughby, President & CEO
Group Resources, Inc.